论文部分内容阅读
妊娠期胰腺炎是一种少见的疾病,饼发症多,胎儿死亡率高。妊娠妇女血甘油三酯明显增加;已经证明,高甘油三酯血症、尤其高乳糜微粒血症与胰腺炎发病有一定关系。本文报告三个妊娠伴严重高甘油三酯血症的病例,并就早期诊断和预防措施进行讨论。例1:24岁,初产妇。剖腹产时见腹腔有稀薄的乳状液,术中血压下降,未探查上腹部。患者血甘油三酯87mM/L,胆固醇21mM/L。血浆超速离心去脂后测淀粉酶为1573单位,诊断暴发型出血性胰腺炎,抢救无效,三天后死亡。尸检报告是出血性胰腺炎。家族调查未见高脂血症病人。例2:33岁,入院时肝脾肿大,轻度贫血。空腹
Pancreatitis in pregnancy is a rare disease, croquettes and fetal mortality. Blood triglycerides in pregnant women was significantly increased; hypertriglyceridemia, especially high chylomicronemia, has been shown to correlate with the incidence of pancreatitis. This article reports three cases of pregnancy with severe hypertriglyceridemia and discusses early diagnosis and prevention. Example 1: 24 years old, primipara. Cesarean section see the abdominal cavity with thin emulsion, intraoperative blood pressure dropped, did not explore the upper abdomen. Patients with triglyceride 87mM / L, cholesterol 21mM / L. Plasma ultracentrifugal degreasing measured amylase 1573 units, the diagnosis of fulminant hemorrhagic pancreatitis, rescue invalid, died three days later. Autopsy report is hemorrhagic pancreatitis. No family history of hyperlipidemia patients. Example 2: 33 years old, hepatosplenomegaly on admission, mild anemia. Fasting